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General NPI Number Information
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NPI Number | 1144342791
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Entity Type | Organization
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Legal Business Name | RICHARD M. ABRAMS
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/31/2014
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Provider Practice Location Address
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Address Line | 3311 GLENDALE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90039-1812
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Country | US
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Telephone | 323-665-7665
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Fax | 323-665-1955
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Provider Business Mailing Address
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Address Line | 3311 GLENDALE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90039-1812
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Country | US
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Telephone | 323-665-7665
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Fax | 323-953-6695
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | RICHARD M ABRAMS
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Credential | DDS
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Telephone | 323-665-7665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 23272
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License Number State | CA
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